Published online Apr 30, 2015.
https://doi.org/10.4055/jkoa.2015.50.2.132
The Changes in Patient Pattern for Pediatric Supracondylar and Lateral Condylar Humeral Fractures
Abstract
Purpose
The purpose of this study was to compare the changes in patients pattern retrospectively for pediatric supracondylar and lateral condylar humeral fractures.
Materials and Methods
We retrospectively studied 335 pediatrics treated operatively for supracondylar and lateral condylar fracture from March 1993 to February 2013. The pediatrics were divided depending on the 10-year time period: those who received treatment from March 1993 to February 2003 as group I, and those who received treatment from March 2003 to February 2013 as group II. By each group, the differences in age, gender, cause, season of incidence, whether the time of incidence was a weekend, and education level of the parents were compared and analyzed.
Results
Fractures in group I were mainly due to slip down and fall down, but sports injury was the main cause of fractures in group II. There were 112 cases and 121 cases of supracondylar fractures, and 65 cases and 37 cases of lateral condylar fracture in groups I and II. Significant differences were found in the incidence of lateral condylar facture (p=0.009). In terms of the education level of the parents, the number with high school or under decreased significantly from group I to group II, from 71 cases to 45 cases (p=0.040).
Conclusion
The supracondylar fracture does not show any significant difference according to the time lapse in the age and cause of incidence. However, the incidence of lateral condylar fracture shows a decreasing trend which may be related to the decrease of the incidence of slipping and falling, and the improvement in the parent's education level.
Table 1
Analysis of the Changes in Patient Pattern for Pediatric Supracondylar and Lateral Condylar Humeral Fractures
Table 2
Logistic Regression Analysis of the Changes in Patient Pattern for Pediatric Supracondylar and Lateral Condylar Humeral Fractures
CONFLICTS OF INTEREST:The authors have nothing to disclose.
References
-
Chan KM, Hung LK, Leung PC. The scene of children's trauma in Hong Kong: a preliminary survey of 3,974 cases in a regional hospital. Bull J Hong Kong Med Assoc 1984;36:127–131.
-
-
Lenaway DD, Ambler AG, Beaudoin DE. The epidemiology of school-related injuries: new perspectives. Am J Prev Med 1992;8:193–198.
-
-
Alffram PA, Bauer GC. Epidemiology of fractures of the forearm. A biomechanical investigation of bone strength. J Bone Joint Surg Am 1962;44:105–114.
-
-
Park SR, Sohn SK, Park CI, Lee KH. Clinical study on children's fractures. J Korean Orthop Assoc 1983;18:297–310.
-
-
Chung DE, Kim KD, Oh SH. Clinical observation on children's fractures. J Korean Orthop Assoc 1981;16:130–139.
-
-
Park SW, Han SY, Byun YS. Clinical study for lateral condyle fracture of humerus in children. J Korean Orthop Assoc 1991;26:403–411.
-
-
Yoo CI, Suh JT, Suh KT, Kim YJ, Kim HT, Park WW. A clinical study of the lateral condyle fracture of the humerus in children. J Korean Orthop Assoc 1993;28:781–792.
-